title: [A case of acute autoimmune hepatitis associated with autoimmune hemolytic anemia].
abstract: A 61-year-old female was admitted to our hospital with severe jaundice and anemia. She was diagnosed with severe acute hepatitis secondary to autoimmune hepatitis (AIH) on the basis of positive anti-nuclear antibody titers, high serum IgG levels, and liver biopsy. Autoimmune hemolytic anemia (AIHA) was diagnosed because of the presence of reticulocytosis, decreased haptoglobin, positive direct Coombs test, and erythroid hyperplasia in the bone marrow. Although AIH occurs in association with various immunological disorders, an association with AIHA is rarely reported. We report a rare case of severe AIH associated with AIHA.
authors.affiliation: Department of Gastroenterology, Gifu University School of Medicine.
authors.forename: Tatsunori
authors.initials: T
authors.lastname: Hanai
authors.forename: Takafumi
authors.initials: T
authors.lastname: Naiki
authors.forename: Manabu
authors.initials: M
authors.lastname: Takamatsu
authors.forename: Kenji
authors.initials: K
authors.lastname: Imai
authors.forename: Junichi
authors.initials: J
authors.lastname: Kitagawa
authors.forename: Atsushi
authors.initials: A
authors.lastname: Suetsugu
authors.forename: Koji
authors.initials: K
authors.lastname: Takai
authors.forename: Makoto
authors.initials: M
authors.lastname: Shiraki
authors.forename: Masahito
authors.initials: M
authors.lastname: Shimizu
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Hirose
authors.forename: Hisashi
authors.initials: H
authors.lastname: Tsurumi
authors.forename: Hisataka
authors.initials: H
authors.lastname: Moriwaki
mesh_terms: D000208:Acute Disease; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D005260:Female; D019693:Hepatitis, Autoimmune / Q000150:complications*; D006801:Humans; D008875:Middle Aged